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IR - 64725
`�. Ns �(1 1 7255 � Building Job Report ----' ADDRESS �d 6� �y�,c� �� �jr � OWNER , J e�,u" �0��2� BUILDER DATE PERMIT NO. �'- /� (� '7 L� DESCRIPTION , `'� 3 �� a� INSPECTION RECORD DATE REPORT �� � � �� ��3� � ��� OWNER - REP INSPECTOR